| NPI | 1770795759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A102368) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD 60414029) |
| 207V00000X Obstetrics & Gynecology (Licence: HI MD 17306) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2016-01-11 |